Presumed stromal graft rejection after deep anterior lamellar keratoplasty

被引：27

作者：

Al-Torbak, A ^{[1
]}

Malak, M ^{[1
]}

Teichmann, KD ^{[1
]}

Wagoner, MD ^{[1
]}

机构：

[1] King Khalid Eye Specialist Hosp, Anterior Segment Div, Dept Ophthalmol, Riyadh 11462, Saudi Arabia

来源：

CORNEA | 2005年 / 24卷 / 02期

关键词：

lamellar keratoplasty; deep anterior lamellar keratoplasty; keratoconus; immune-mediated stromal rejection;

D O I：

10.1097/01.ico.0000141230.95601.95

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: To demonstrate the development of presumed immune-mediated stromal rejection after deep anterior lamellar keratoplasty and its reversal after initiation of intensive topical corticosteroid therapy. Methods: Observational case report carried out with the approval of the hospital institutional review board. Results: Stromal edema and peripheral vascularization developed 16 months after deep anterior lamellar keratoplasty for keratoconus in a 13-year-old girl. After 2 weeks of intensive topical corticosteroids, complete reversal of stromal edema and regression of peripheral vascularization occurred, with full recovery of visual function. Conclusion: The clinical appearance and response to therapy in this case support the diagnosis of immune-mediated stromal rejection. Ophthalmologists should be aware that sight-threatening stromal rejection may occur in lamellar corneal grafts.

引用

页码：241 / 243

页数：3

共 17 条

[1] Deep lamellar keratoplasty - Surgical techniques for anterior lamellar keratoplasty with and without baring of Descemet's membrane [J].